NPIMap

Organization Active NPI

Kiumars Saketkhoo MD, Inc

  • Critical Care Medicine (Internal Medicine) Physician
  • Whittier, CA
National Provider Identifier
1689790750
Registry record updated Jul 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
A32779 Issued in CA
Legal business name
KIUMARS SAKETKHOO MD, INC
Practice address
12462 Putnam Street
Ste 208
Whittier, CA 90602-1005
Phone
(562) 789-5470
Fax
(562) 789-4480
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kiumars Saketkhoo, M.D.NPI 1093782518
Title
President
Phone
(562) 789-5470

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0200X A32779 CA Primary

Addresses

Primary practice location

12462 Putnam Street
Ste 208
Whittier, CA 90602-1005

Mailing address

PO Box 511225
Los Angeles, CA 90051-3023
Phone (562) 789-5470

Other identifiers 1

IdentifierTypeStateIssuer
GR0084320MedicaidCA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246406400000",
    "number": "1689790750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 511225",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900513023",
            "telephone_number": "562-789-5470",
            "fax_number": "562-789-4480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12462 PUTNAM STREET",
            "address_2": "STE 208",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906021005",
            "telephone_number": "562-789-5470",
            "fax_number": "562-789-4480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIUMARS SAKETKHOO MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2009-07-01",
        "status": "A",
        "authorized_official_last_name": "SAKETKHOO",
        "authorized_official_first_name": "KIUMARS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-789-5470",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A32779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0084320",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.